The term spinal cord injury refers to the damage of the spinal cord resulting from trauma or degenerative diseases or cancer. The most sever spinal cord injury affects systems that regulates bowel and bladder, breathing and heart rate and blood pressure. The study was determinants of management of spinal cord injury patients. The study was guided by patients, health care workers and health care institution related factors that determine managing of spinal cord injury patients. It was across sectional, descriptive design. The researcher used 30 respondents to collect data and it was analysed using Microsoft excel 2007 and statistical package for social scientists. The findings were presented in tables and figures. It was found out that patients related factors in study were 27(84.4%), were female 17(53.9%) and 14(46.7%), had inadequate knowledge, and 9(30%) reported limited access to rehabilitation services. Health care workers related factors, 14(46.7%), reported highly specialised interdisciplinary approach and 4(13.3%), reported inadequate staffs. Health care institution related factors included 10(33.3%), had limited financial resources, and 9(30%) were lacking physical therapy and rehabilitation services, 7(23.3%), reports inadequate equipment 2(6.7%) had challenge with lack of skilled personnel .It was concluded that health care institution factors have contributed mostly to the managing spinal cord injury patients among health care workers followed by health care factors and then patient related factors. It was recommended that health training institutions should educate health students more on spinal cord injury management and the way how to prevent spinal cord injuries. The health care workers should be sensitised and continuous medical education (CMEs), on managing of spinal cord injury patients and guidelines on this should be put on the ward s to make every health care worker aware of spinal cord injury management. It was recommended to the ministry of health also to ensure timely supply of logistics at the spinal unit .spinal unit ward managers should develop the policies that encompass on how to manage spinal cord injuries.

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